Overdose Prevention and Survival
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RESCUE BREATHING Respiraci贸n de Boca a Boca
Grip clear plastic wings.
Pull or pry off yellow caps
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SYRINGE
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Pry off red cap
Screw capsule of naloxone into barrel of syringe.
NALOXONE
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HOW TO GIVE NASAL SPRAY NARCAN
Be a Lifesaver!
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If no reaction in 2-5 minutes, give the second dose.
Insert white cone into nostril; give a short, vigorous push on end of capsule to spray naloxone into nose: one half of the capsule into each nostril.
Push to spray.
Insert white cone into
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HARM REDUCTION COALITION
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NARCAN 3. GIVE Administra Narcan
is a program of the Harm Reduction Coalition 1440 Broadway, Suite 510 Oakland, CA 94612 510-444-6969 Email: dope@harmreduction.org www.harmreduction.org
The Drug Overdose Prevention and Education Project HOW? 驴c贸mo?
Overdose is most common when:
ACTIONS:
• Your tolerance is down due to not using—whether you took a break, were in treatment, jail or had cut down on your use.
1. Check to see if they can respond • Give them a light shake, yell their name. Any response? Are they breathing?
• When you mix drugs, especially a few kinds of downers, like heroin, methadone, benzos/pills and alcohol or any combo of those. • When you get stronger drugs than you’re used to. If the supply changes or you go to a new dealer or you’re new in town. • When you’re alone—nobody is around to help if you go out. • When you’ve been sick, tired, run down or dehydrated—your body can’t handle the drugs as well if it is not healthy and nourished.
how to recognize an overdose: • Blue or grayish lips and fingernails • Clammy, sweaty skin
• If you can’t get a response, try a STERNUM RUB (rub your knuckles on their chest bone for about 10 seconds). 2. Call 911 • You don’t need to mention drugs on the call— stick to the basics: - GIve the address and location - Say “my friend is unconscious and I can’t wake them up” or “my friend isn’t breathing” 3. Rescue Breathing • Make sure nothing is in their mouth • Tilt head back, lift chin, pinch nose • Give a breath every five seconds 4. Give Narcan • If you have the Nasal Spray Narcan, spray half up one nostril, half up the other.
• Shallow or raspy breathing, snoring or gurgling sounds
• If you have the Injectable Narcan, inject 1cc into the muscle of the upper arm, upper thigh, or upper/outer quarter of the butt.
• Won’t wake up to yelling their name, or yelling “I’m going to Narcan you!”
• Keep rescue breathing if they haven’t started breathing on their own.
If your friend is just in a heavy nod, but is still conscious and breathing, make sure to stay with them, walk them around, keep them talking and moving. Watch their breathing.
• Give second dose of Narcan if there is no response after about 3 minutes.
Someone can slip into an overdose hours after they got high! Have your Narcan kit around just in case, you never know when you’ll need it.
5. After Narcan • Remind the person that Narcan will wear off in about 30-45 minutes. • Stay with them until they go to the hospital or the Narcan wears off to make sure the overdose doesn’t come back.
Preventing Overdose • Eat, sleep, drink water—keeping our bodies healthy can help reduce the risk of overdose! • Be careful if you mix alcohol, benzos/pills, heroin or methadone—any combo of these drugs can cause your breathing and heart to stop working. • Prepare your own drugs, know how strong your shot is and exactly what’s in it. • Have an OD plan with the people you use with. Empower yourself, learn how to do rescue breathing and get a Narcan kit! • Always use with a friend or let someone know you’re getting high so they can check on you. Keep doors unlocked so help can reach you if you’re in trouble. • Test out a new supply to see how strong it is— inject slowly or do less to start. Talk to others who copped from the same source. • Go slow if you’re just picking up after a period of not using, do a tester shot and have someone with you. Remember...you can always do more, but you can’t do less!